This article was published by Knowledge@Wharton on July 31, 2014. A study of Blue Cross insurers released on July 9 by the plans’ trade association reported that health insurers are slowly moving toward “value-based” payments to doctors and hospitals. Instead of basing payments on the number of tests and procedures performed,<span. . .

Event: First Illinois Chapter HFMA, Spring Summit 2014 Date: April 10-11, 2014 Presenters: Ngan MacDonald and Walter Linde-Zwirble On April 10, 2014, Trexin’s Healthcare practice leadership delivered a conference seminar entitled “How to Leverage Analytics to Transform Healthcare Delivery: Lowering the Cost of Care” at the First Illinois Chapter Healthcare<span. . .

As we step into the post-ACA world, where the economic consequences as well as the clinical value of interventions need to be understood, the biggest missing pieces of information are usually the general pattern of resource use and the associated overall cost of care for a condition under current

Compared to other developed nations the US spends approximately twice as much per capita on healthcare and the total cost seems to be spiraling out of control. And while many other countries have placed a number of types of controls on payers, prices or the availability of services, the US<span. . .

We conducted a preliminary analysis of outcomes and resource utilization for Medicare beneficiaries with AML first diagnosed in 2003 or 2004, using Medicare Public Use Standard Analytic claims files. The purpose of this analysis was to better understand the patterns of resource use in connection

Healthcare analytics have been conducted for decades in independent silos: actuaries, medical researchers, payers, regulators, pharmaceutical and device companies, and providers. This has resulted in a multiplication of George Bernard Shaw’s observation that “the United States and Great Britain